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�ocaUon y� <br />CHECKLIST FOR PROCESSING AGREEMENTS AND AMENDMENTS <br />TO: CLERK OF THE COUNCIL OFFICE <br />FROM: DEPT.: Parks Recreation & Community Services Agency MAIL STOP: 23 <br />CONTACT PERSON: Dolores Ramos EXT.: 4274 <br />THE FOLLOWING ITEMS SHOULD BE PROVIDED IN REQUESTING PROCESSING OF AGREEMENTS FOR THE CITY: <br />AGREEMENT NUMBER (if amendment): A / N <br />AMENDMENT NUMBER (if applicable): ❑ 1 sr ❑ 2N/D / ❑ 3RD ❑ <br />COUNCIL APPROVAL DATE: <br />AMOUNT: OVER $10,000 ❑ UNDER $10,000 <br />NAME OF CONSULTANT: <br />TERM OF AGREEMENT: EFFECTIVE DATE: j; y(10_TERMINATION DATE: IDI L�11 1 L) o <br />INSURANCE REQUIRED: ❑ NO / b <br />* YES If yes, ❑ ATTACHED ❑ IN PROGRESS <br />❑ AUTO ❑ CGL (Commercial General Liability) <br />❑ PROFESSIONAL LIABILITY ❑ WORKERS COMPENSATION <br />(INS. APPROVAL REQUIRED BY CAO PRIOR TO SUBMITTING TO COTC) <br />SIGNATURES REQUIRED: <br />13 VENDOR 0 ❑ CITY ATTORNEY x OTHER �(JVLD ES�tMy' Ie , <br />W- - <br />FOR CLERK OFFICE USE ONLY: <br />❑ PROCESS <br />ADDITIONAL REMARKS: <br />❑ DO NOT PROCESS <br />❑ MISSING SIGNATURES <br />❑ NEEDS COUNCIL APPROVAL <br />0 OTHER <br />